Blooming Abilities, LLC

Organization Active NPI Community/Behavioral Health Agency · Liberty Lake, WA

NPI 1972080471 · NPPES record last updated Jul 26, 2018

Key facts

NPI
1972080471
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
BA60835859 (WA)
Legal business name
BLOOMING ABILITIES, LLC
Practice address
24939 E Bergamot CT
Liberty Lake, WA 99019-6036
Phone
(314) 570-9205
NPI assigned
Jul 26, 2018
Organization subpart
No

Authorized official

Name
Joline Messina, M.S., BCBA, LBA
Title
Bcba
Phone
(314) 570-9205

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BA60835859 WA Yes

Addresses

Primary practice location

24939 E Bergamot CT
Liberty Lake, WA 99019-6036

Mailing address

1324 N Liberty Lake Rd # 193
Liberty Lake, WA 99019-8523
Phone (314) 570-9205

Other providers in Liberty Lake, WA

All providers in Liberty Lake, WA · Community/Behavioral Health Agency in Washington

Sources for this page

Verify at the official NPI Registry.